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.l',,��iz � -� �, f .------, ,. . - _ :� <br /> W.D.Form 1-1GUn—E.P.Ca.—G26�2{ ' <br /> City of Everett��ater Depai�tment <br /> APPLICATION FOR WATER ' <br /> pll blanks nm=t Uc filled in or/�jossed out <br /> Evemtt..........._.!�"�/�_�.zc........17�� <br /> TO TIIE 5UPERINTGNDtitiCITY OF EV�L}�TT/UGPrV:TiliENT: <br /> I hercby npP1Y far tte use of a•ater in accm'dance with the rvles and tegu- <br /> Iations of the ti�'nter Department, for purPoscs .nd fislvres =taLed bclow. <br /> During thc time that any of Lhe wzter mnins mny be laken up bY rca=on <br /> of any imp roeemenLs nuthorized by the City ot Eccrett, in or of nny streM or <br /> ailey in which they mny hace been Inid, tfie City a•ill not be required to furni�h <br /> �c:rter during the progrees of euch improcemente to any eoneumer «�huse supply <br /> m::y thus bc cut nfC, or be liaUl/ie� for any damages for its fnilure sn b do. <br /> APplication No.......��-a����......... � Z .y�-.. <br /> lllock /...._ Lot ....... .._.�jjf�sFHF'J . . _ . .. <br /> ......... /y��) l <br /> No . _. .���L._./. � CG.t�tir�-._...Str et <br /> U . ._.__... ........._. <br /> . .... ......... ._ ... ._.._.... .. <br /> __......_ _. � <br /> 7'he work to be executed by . _. . _ . __.. .. .......Plumbcr � <br /> State size of tap. <br /> �b��� ��_ } <br /> ..��y'.Tnp to be inserted in the main. � <br /> ,._....�......Nnter closet <br /> _.....�---�-Bach <br /> .........-.....Urinal � .� . <br /> __.....Z...Plain favicet ineide <br /> .___..-.._Side n�nik washer � � <br /> _._..�........i3oec bib outnide <br /> .......—.....Iiosc Lib for building purpoees <br /> ___...—...i3nse bib inside <br /> ........—...Bib for stnble contnin{ng.................._ntall................... <br /> ....__�:....Number of persons in family <br /> ..3......Number ot roome in bu�lding <br /> The Premiaes are toF�2 veed fls a . .._. .��� '�. ------ �- - ������- <br /> 7'he owner ot the prer.iises is..�L7� _.�..t/l.. ........ ._._.. <br /> Thcagent is..................._........_..._._.........._.�............_..._........................................... <br /> This applicxtion, although signed, ahell not Ue binding upon the City, vntil <br /> necepted by the Superint ent of Lhe Wntc e�artment. <br /> SiSmed--......�� _....�.........._....._........._.Applicnnt <br /> •c ted. ........_ ._...192 ... By...................1�.....f_..�. . .. . .._. .... <br /> p .................... _ . . gu(icrintcndenl <br /> �� 22. .�a,9 � ����, ':e...-�. <br /> �„ = <br />